Active NPI
Charmane Henry-Daigle, RN
- Psychiatric/Mental Health Registered Nurse
- Lynwood, CA
National Provider Identifier
1558440461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 525605
- Practice address
- 11705 S Alameda St
DMH
Lynwood, CA 90262-4023 - Phone
- (323) 568-4678
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 525605 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 525605 | CA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 525605 | CA |
Addresses
Primary practice location
11705 S Alameda St
DMH
Lynwood, CA 90262-4023
Mailing address
11705 S Alameda St
DMH
Lynwood, CA 90262-4023
Phone (323) 568-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 525605 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1558440461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11705 S ALAMEDA ST",
"address_2": "DMH",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624023",
"telephone_number": "323-568-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 S ALAMEDA ST",
"address_2": "DMH",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624023",
"telephone_number": "323-568-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY-DAIGLE",
"first_name": "CHARMANE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "525605",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "525605",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CA",
"license": "525605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.